Académique Documents
Professionnel Documents
Culture Documents
FECHA: 23/06/2016
NOMBRE DEL ASEGURADO:
DIRECCIN: la victoria (calle el tumi #1256)-provincia de Chiclayo-departamento de
Lambayeque.
TABIQUERIA:
COLUMNA
MATERIALES
ACTIVIDAD A REALIZAR
MATERIALES
VALOR
VALOR TOTAL
MANO DE OBRA: $
4. DAOS A TERCEROS
NOMBRE, DIRECCIN Y TELFONO:
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DESCRIPCIN DE LOS DAOS:
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PRESUPUESTO REPARACIN:
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NO.CDULA:
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